Chapter 1 EMS Systems

Which of the following skills would a layperson most likely be trained to perform before the arrival of EMS? a. Bleeding control using a tourniquet b. Administration of supplemental oxygen c. Obtaining a manual blood pressure d. Insertion of an oropharyngeal airway

a. Bleeding control using a tourniquet

Which of the following criteria is required to become licensed and employed as an EMT? a. Proof of immunization against certain communicable diseases b. Demonstration of the ability to lift and carry at least 200 pounds c. A minimum of 60 college credit hours that focus on health care d. Successful completion of a recognized bystander CPR course

a. Proof of immunization against certain communicable diseases

The person who is responsible for authorizing EMTs to perform emergency medical care in the field is the: a. medical director. b. field training officer. c. shift supervisor. d. EMS administrator.

a. medical director

As an EMT, you may be authorized to administer aspirin to a patient with chest pain based on: a. medical director approval. b. the patient's condition. c. an order from a paramedic. d. the transport time to the hospital.

a. medical director approval

The standards for prehospital emergency care and the individuals who provide it are typically regulated by the: a. state office of EMS. b. regional trauma center. c. American Heart Association. d. National Registry of EMTs.

a. state office of EMS.

The determination that prompt surgical care in the hospital is more important than performing time-consuming procedures in the field on a major trauma patient is based mostly on: a. the lead EMT's decision. b. regional trauma guidelines. c. local protocols. d. EMS research.

a. the lead EMT's decision.

EMRs such as firefighters, law enforcement officers, and park rangers are an integral part of the EMS system because: a. they often arrive at the scene before the ambulance and EMTs. b. the average response time for the EMT crew is approximately 15 minutes. c. they can initiate certain ALS procedures before EMS arrival. d. they are usually trained to assist paramedics with certain procedures.

a. they often arrive at the scene before the ambulance and EMTs.

Which of the following descriptions most accurately portrays emergency medical services (EMS)? a. A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients b. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured c. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients d. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting

b. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured

Which of the following statements regarding the EMS medical director and an EMT's scope of practice is correct? a. The EMS medical director can expand the EMT's scope of practice but cannot limit it without state approval. b. An EMT's scope of practice may be expanded by the medical director after proper training and state approval. c. An EMT's scope of practice is exclusively regulated by the state EMS office, not the EMS medical director. d. The EMS medical director can expand or limit an individual EMT's scope of practice without state approval.

b. An EMT's scope of practice may be expanded by the medical director after proper training and state approval

Which of the following is a specific example of the Mobile Integrated Healthcare (MIH) model? a. EMTs assess a patient whose lung disease is "acting up" b. EMTs respond to a woman who complains of high fever c. The paramedic administers a patient's flu vaccination d. Paramedics pick up a patient from an acute care clinic

b. EMTs respond to a woman who complains of high fever

An appropriate demonstration of professionalism when your patient is frightened, demanding, or unpleasant is to: a. demand that the patient remain quiet and cooperative during transport. b. continue to be nonjudgmental, compassionate, and respectful. c. ignore the patient's feelings and focus on his or her medical complaint. d. reassure the patient that everything will be all right, even if it will not be.

b. continue to be nonjudgmental, compassionate, and respectful

The EMT certification exam is designed to: a. provide EMTs with the best possible wage once certification is achieved. b. ensure that EMTs are competent and have the same level of knowledge and skills. c. identify those EMTs who are prepared for advanced levels of training. d. rank EMTs based on performance on the certification exam.

b. ensure that EMTs are competent and have the same level of knowledge and skills.

If an EMT candidate has been convicted of a felony or misdemeanor, he or she should: a. contact the state EMS office and provide its staff with the required documentation. b. send an official request to the National Registry of EMTs (NREMT) to seek approval to take the EMT exam. c. wait at least 24 months before taking another state-approved EMT class. d. recognize that any such conviction will disqualify him or her from EMT licensure.

b. send an official request to the National Registry of EMT's (NREMT) to seek approval to take the EMT exam.

Which type of medical direction do standing orders and protocols describe? a. Radio b. Direct c. Off-line d. Online

c. Off-line

An EMS provider who has extensive training in various aspects of advanced life support (ALS) is called a(n): a. EMT b. EMR c. advanced EMT (AEMT). d. paramedic.

c. advanced EMT (AEMT)

According to the National EMS Scope of Practice Model, an EMT should be able to: a. insert a peripheral IV line and infuse fluids. b. interpret a basic (ECG) rhythm and treat accordingly. c. assist a patient with certain prescribed medications. d. administer epinephrine via the subcutaneous route.

c. assist a patient with certain prescribed medications.

According to the National EMS Scope of Practice Model, an EMT would require special permission from the medical director and the state EMS office to: a. apply and interpret data from a pulse oximeter. b. use an automatic transport ventilator. c. insert a peripheral intravenous catheter. d. give aspirin to a patient with chest pain.

c. insert a peripheral intravenous catheter

Continuing education in EMS serves to: a. provide an ongoing review and audit of the EMS system. b. enforce mandatory attendance at agency-specific training. c. maintain, update, and expand the EMT's knowledge and skills. d. confirm research and statistical findings in prehospital care.

c. maintain, update, and expand the EMT's knowledge and skills

Which of the following statements regarding the NREMT is correct? a. The NREMT provides a national standard for EMS testing. b. The NREMT is a governmental agency that certifies EMTs. c. The NREMT regulates EMS training standards d. The NREMT is the exclusive certifying body for EMTs.

d. The NREMT is the exclusive certifying body for EMTs.

The continuous quality improvement (CQI) process is designed to: a. ensure that all EMTs maintain licensure through the state EMS office. b. focus specifically on the quality of emergency care provided to the patient. c. administer punitive actions to EMTs who do not follow local protocols. d. identify areas of improvement and provide remedial training if needed.

d. identify areas of improvement and provide remedial training if needed.